MR. Brock Evan Potter, ATC, LAT
NPI #1023584158 in Evansville, Indiana
Provider Information
- NPI Number
- 1023584158
- Entity Type
- Individual
- Name
- MR. Brock Evan Potter, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Oct 16, 2018
Practice Location
- Address
- 515 READ ST
- City
- Evansville
- State
- Indiana
- ZIP Code
- 47710-1739
- Phone
- (812) 424-9291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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